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1184979783
MICHAEL JAKE PERRIN
TWIN FALLS, ID
NPI
1184979783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP1213A)
Enumeration Date
2012-07-19
Last Update Date
2013-10-13
Business Address
-- MICHAEL JAKE PERRIN NP
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-339-8077
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Mailing Address
-- MICHAEL JAKE PERRIN NP
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-4100
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